RUSSELL MILLER (NPI# 1003241563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003241563 |
| Entity Type | Individual |
| Full Name | RUSSELL MILLER |
| Credential | CP |
| Practice Address |
3508 12th Ave Ne Olympia WA 98506-5218 |
| Practice Telephone | 3604591099 |
| Practice Fax Number | 3604591794 |
| Mailing Telephone | 3604591099 |
| Mailing Fax Number | 3604591794 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | PS 60371032 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740411 | Russell D. Miller | General Practice | 7160 Seawind Dr, Long Beach, CA 90803-4316 | 2010-05-12 |
| 1306171541 | Russell Thomas Miller | Physical Therapist | 2024 Olde Regent Way Ste 130, Leland, NC 28451-4250 | 2009-10-06 |
| 1184886426 | Russell J Miller | Social Worker | 8415 Goodwood Blvd Ste 200, Baton Rouge, LA 70806 | 2008-06-27 |
| 1982759429 | Russell Stephen Miller | Dentist | 1815 Clinten Ave South, Suite 640, Rochester, NY 14618 | 2007-01-24 |
| 1225130156 | Russell Paul Miller | Internal Medicine | 5900 Coyle Ave #a, Carmichael, CA 95608-0429 | 2006-09-01 |
| 1689688723 | Russell Loyd Miller Jr. | Internal Medicine | 1605 N Portal Dr Nw, Washington, DC 20012-1012 | 2006-07-27 |
| 1649236803 | Russell A Miller | Pediatrics | 1900c Garfield Ave, Parkersburg, WV 26101-2525 | 2006-04-25 |
| 1730141375 | Russell M Miller | Optometrist | 10 Diagonal St, Suite 101, St George, UT 84770-2878 | 2006-04-06 |
| 1780646158 | Russell J Miller | Physician Assistant | 1468 Trevorton Rd, Coal Township, PA 17866-7725 | 2006-04-03 |
| 1730167537 | Russell W Miller | Counselor | 2755 State Road Tt, New Bloomfield, MO 65063-1642 | 2006-01-03 |
| Street Address |
3508 12TH AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518031483 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2006-11-20 |
| 1376167247 | Terese Jenks | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-06-05 |
| 1588287973 | Cerise R Knakal | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-05-20 |
| 1932624004 | Riley Brydan Liddell | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2017-08-09 |
| 1578927646 | Brian Arotca | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2016-04-05 |
| 1538566161 | Collins Kenneth Freitas | Pedorthist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740555820 | Jacquelyn B Dempsey | Prosthetist | 208 Lilly Rd Ne Ste A, Olympia, WA 98506-6100 | 2012-03-21 |
| 1740471093 | Juan C Lewis | Prosthetist | 208 Lilly Rd Ne Ste A, Olympia, WA 98506-5031 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785777 | Natalie Kirsten Harold | Prosthetist | 123 2nd Ave S Ste 200, Edmonds, WA 98020-8449 | 2018-10-09 |
| 1497129092 | Stevie Stephens | Prosthetist | 723 Mlk Jr Way, Tacoma, WA 98405 | 2015-11-19 |
| 1427243468 | Andrew J Lind | Prosthetist | 401 S Sherman St, Spokane, WA 99202-6001 | 2007-09-12 |
| 1508057845 | David M Kelly | Prosthetist | 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 | 2007-08-01 |
| 1093891616 | Virginias Feminine Boutique, LLC | Prosthetist | 3627 152nd St Ne, Marysville, WA 98271-8944 | 2006-10-27 |
| 1912081860 | American Artificial Limb Co | Prosthetist | 650 S Orcas St, Suite 100, Seattle, WA 98108-2654 | 2006-10-25 |
| 1487631586 | Michael Philip Podrasky | Prosthetist | 1420 4th St Se, Ste D, Puyallup, WA 98372 | 2005-12-29 |
| 1891394086 | Janae Christine Buchan | Prosthetist | 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 | 2020-10-20 |
| 1164020426 | Sarah Mccarthy Cheever | Prosthetist | 4575 Sand Point Way Ne, Seattle, WA 98105-3950 | 2020-10-09 |
| 1720612450 | Sean C Hails | Prosthetist | 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.